Reference checklist
Radiation oncology compliance checklist
A radiation-oncology department juggles dozens of recurring obligations across licensing, accreditation, radiation safety, machine QA, and personnel training — each on its own clock. This is a working checklist of the deadlines that tend to sneak up, grouped the way they actually land on a physicist's or RSO's desk.
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Licenses & registrations
| Obligation | Typical cadence | Authority |
|---|---|---|
| Radioactive-material (RAM) license renewal | Per license term | State / NRC radiation control program |
| State radiation-producing machine registration renewal | Per state term | State radiation control program |
| RAM license conditions / amendment review | Ongoing | State / NRC radiation control program |
| Annual license/registration fee or attestation | Annual | Licensing / accrediting body |
Accreditation cycles (ACR & ASTRO APEx)
| Obligation | Typical cadence | Authority |
|---|---|---|
| ACR radiation-oncology accreditation renewal cycle | Multi-year | American College of Radiology |
| ASTRO APEx reaccreditation cycle | Multi-year | ASTRO (APEx) |
| Annual practice self-evaluation against APEx standards | Annual | ASTRO (APEx) |
| Annual policy & procedure review | Annual | Radiation Oncology QA Committee |
| Periodic patient-safety & incident-learning review | Periodic | QA / Safety Committee |
RSO duties & RAM license (core)
| Obligation | Typical cadence | Authority |
|---|---|---|
| Sealed-source leak (wipe) test | Quarterly | Radiation Safety Officer |
| Radioactive-material inventory & audit | Quarterly | Radiation Safety Officer |
| Personnel dosimetry badge exchange | Monthly / quarterly | Radiation Safety Officer |
| Radiation-safety program review / audit | Annual | Radiation Safety Committee |
Machine QA & surveys
| Obligation | Typical cadence | Authority |
|---|---|---|
| Linac output calibration (TG-51) | Annual | Qualified Medical Physicist |
| Linac QA (TG-142) | Monthly | Qualified Medical Physicist |
| CT simulator QA | Annual | Qualified Medical Physicist |
| Radiation shielding / area survey | Periodic | Qualified Medical Physicist |
These are due-date and completion-tracking items only. Cadence references professional task groups (e.g. AAPM TG-51, TG-142); the app records that the task is due and done — it does not produce or check any dose or calibration value.
Brachytherapy / HDR (sealed sources)
| Obligation | Typical cadence | Authority |
|---|---|---|
| HDR afterloader source exchange | ~Quarterly | Licensee / RSO |
| Sealed-source leak test at source exchange | Per exchange | Radiation Safety Officer |
| Brachytherapy emergency-response drill | Periodic | Radiation Safety Officer |
| Annual brachytherapy/HDR safety survey | Annual | Qualified Medical Physicist |
| Sealed-source inventory reconciliation | Periodic | Radiation Safety Officer |
Personnel radiation safety & training
| Obligation | Typical cadence | Authority |
|---|---|---|
| Radiation-safety / ALARA training | Annual | Radiation Safety Officer |
| Personnel dose-report review | Quarterly | Radiation Safety Officer |
| Occupational dose summary & ALARA review | Annual | Radiation Safety Committee |
| New radiation worker dosimetry & orientation | On hire | Radiation Safety Officer |
| Declared-pregnancy dose monitoring review | As applicable | Radiation Safety Officer |
Stop tracking this in a spreadsheet — MedTally Comply
MedTally Comply puts every one of these obligations on a single timeline that rolls each item forward automatically as you complete it, with reminders ahead of each due date and completion evidence attached where you need it. Start from a built-in catalog of common radiation-oncology obligations — licenses, ACR/APEx, RSO duties, machine QA, brachytherapy, personnel — or add your own. Inspection day becomes a lookup instead of a scramble.
Coming soon to the App Store and Google Play. MedTally Comply schedules and records duties — it does not interpret which regulations apply to you or determine that you are compliant.
Last reviewed 2026. Cadences are common-practice reference defaults and vary by license, jurisdiction, and equipment — verify against your own license conditions and accrediting body.